Individual
STEPHANIE IRENE ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 E STEWART RD APT 203, COLUMBIA, MO 65203-4221
(816) 984-9633
Mailing address
105 E STEWART RD APT 203, COLUMBIA, MO 65203-4221
(816) 984-9633
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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